| Doctor Name: | DERRICK ALAN SOVEL |
| NPI Number: | 1063435378 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PT22771 |
| Business Practice Address: | 2435 Us Highway 19 Suite 100 Holiday, FL - 346913903 |
| Business Phone Number: | 7279392230 |
| Business Fax Number: | 7279392245 |
| Mailing Address: | 951 Broken Sound Pkwy Nw, 225 BOCA RATON |
| State: | FL |
| Postal Code: | 334873507 |
| Phone Number: | 5612419300 |
| Fax Number: | 5616583992 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PT22771 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |